| NPI | 1063824092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2017-01564) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2017-01564) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2017-01564) | |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2023-12-18 |